Exam 2 Medications Flashcards by Lani Manners

meds we use for depression

SSRI
SNRI
TCA
MAOI
Esketamine
Brexanolone

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meds we use for anxiety

SSRI
SNRI
TCA
MAOI
Benzo
Buspar

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meds we use for PTSD

SSRI
SNRI
Imipramine
mirtazapine
clonidine

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meds we use for bipolar

lithium
anticonvulsants
- valproate
- carbamazepine
- lamotrigine

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meds for somatic disorders

SSRI
TCA
Benzo

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meds for suicide

SSRI
Benzo

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benzo
action

promote activity of GABA

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benzo
common drugs (4)

alprazolam (xanax)
clonazepam (klonopin)
diazepam (valium)
lorazepam (Ativan)

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benzo
side effects

sedation
ataxia
anterograde amnesia

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benzo
warning

abuse potential
physical dependance
posible withdrawal
must taper

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SSRI
action

block reuptake of serotonin

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SSRI
common drugs (6)

citalopram (celexa)
fluoxetine (prozac)
Fluvocamine (Luvox)
escitalopram (Lexapro)
sertraline (Zoloft)
paroxetine (Paxil)

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SSRI
side effects

nausea
restlessness
sleep disturbances
sexual dysfunction

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SSRI
warning

serotonin syndrome

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Buspirone (Buspar)
side effects

dizziness, headache, nausea

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Buspirone (Buspar)
warning

takes several weeks for antiafxitey onset

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TCA
action

blocking repute of serotonin and norepinephrine

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TCA
common drugs

amitriptyline
desipramine
doxepin
imipramine
nortriptyline (Palmelor)

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TCA
Common side effects

ANTI SLUD

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TCA
warning

overdose is fatal

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esketamine
notes

directly related to ketamine
used for treatment resistant depression

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SNRI
action

increase serotonin and norepinephrine in the synapse by inhibiting neuronal reuptake

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SNRI
common drugs (4)

venlafaxine (Effexor)
desvenlafaxine (Pristiq)
Duloezetine (Cymbalta)
levomilnacipran (Fetzima)

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SNRI
side effects

similar to SSRI except
excessive sweating
increase blood pressure and heart rate
less sexual dysfunction

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brexanolone use

postpartum depression

MAOI action

inhibit action of MAO enzymes preventing the destruction of monamines

MAOI common drugs

phenelzine (Nardil) isocarboxazid (Marplan) Tranylcypromine (Partite) selegiline (emsem)

MAOI common side effects

orthostatic hypotension weakness constipation insomnia

MAOI warning

avoid tyramine foods or lead to hypertensive crisis

Valproate (depakote) what class

anticonvulsant

Valproate (depakote) FDA approved

manic episodes rapid cycling

Valproate (depakote) adverse effects

sedation weight gain tremors thrombocytopenia pancreatitis hepatic failure

Valproate (depakote) tests

liver function complete blood count

lamotrigine (lamictal) what class

anticonvulsant

lamotrigine (lamictal) FDA approved

maintence therapy not effective for acute mania

lamotrigine (lamictal) serious side effects

Steven johnson

lithium action

affecting neuronal electrical conducitvity

lithium therapeutic range

0.8-1.4

lithium toxic range

1.5+

lithium what can alter concentrations

renal function, salt, water balance can alter concentrations

lithium how we monitor ranges

blood draws

lithium what line of defense for bipolar

first

lithium early signs of toxicity

GI upset course hand tremor confusion sedation incoordination

lithium advanced signs of toxicity

ataxia blurred vision clonic movement seizures stupor

lithium severe toxicity

convulsions oliguria death

first generations common drugs

chlorpromazine (thorazine) loxapine (adasuve)

first generation use

PRN actue mania agitation

first gen adverse effects

EPS gynecomastia neuroleptic malignant syndrome sedation anti SLUD dizziness

second gen common drugs

olanzapine (Zyprexa) risperidone (Risperdal) aripiprazole (Abilify) asenaprine (Saphris) Cariprazine (Vraylar) Lurasidone (Latuda) Quetiapine (Seroquel) Ziprasidone (Geodon)

second gen use

get people out of mania

second gen adverse effects

weight gain hyperglycemia metabolic syndrome CV impairment

carbamazepine (tegretol) drug class

anticonvulsant

carbamazepine (tegretol) FDA approved

manic mixed episodes rapid cycles

carbamazepine (tegretol) adverse effects

dizziness somnolence nausea vomitting ataxia blurred vision hyponatreima leukopenia Steven johnson

carbamazepine (tegretol) tests

blood count CBC ECG HLA test

alprazolam (Xanax)

benzo

clonazepam (Klonopin)

benzo

diazepam (Valium)

benzo

lorazepam (Ativan)

benzo

fluoxetine (Prozac)

SSRI

sertraline (Zoloft)

SSRI

paroxetine (Paxil)

SSRI

citalopram (Celexa)

SSRI

escitalopram (lexapro)

SSRI

fluvoxamine (Luvox)

SSRI

amitriptyline

TCA

desipramine

TCA

doxepin

TCA

imipramine

TCA

nortriptyline (Palmelor)

TCA

venlafaxine (Effexor)

SNRI

desvenlafaxine (Pristiq)

SNRI

duloxetine (Cymbalta)

SNRI

levomilnacipran (Fetzima)

SNRI

phenelzine (Nardil)

MAOI

isocarboxazid (Marplan)

MAOI

tranylcypromine (partnate)

MAOI

selegiline (emsem)

MAOI

chlorpromazine (thorazine)

first gen antipsychotics

loxapine (adasuve)

first gen antipsychotics

olanzapine (zyprexa)

second gen antipsychotics

risperidone (risperdal)

second gen antipsychotics

aripiprazole (ability)

second gen antipsychotics

asenaprine (saphris)

second gen antipsychotics

cariprazine (vraylar)

second gen antipsychotics

lurasidone (Latuda)

second gen antipsychotics

quetiapine (seroquel)

second gen antipsychotics

ziprasidone (geodon)

second gen antipsychotics